Pancreatic Injury
Rare 10-20% of all abdominal injury
Crush , Direct blow to abdo & Seat belt injury
Associated with abdo. Duodenal injury, Vascular injury & liver injury
Diagnosis – Difficult, High index of suspicion
CECT Scan is helpful
Serum amylase is a poor indicator
Usually diagnose on Laparotomy
Distal Pancreatic injury - Distal resection
Pancreaticojejunostomy – Injury to Ampulla of Vater, Head & Body of Pancreas